摘要
目的分析29例手术确诊为结核的病例,探讨其误诊的原因。方法对我院收治的外科手术确诊为结核的29例患者的临床资料进行分析。结果 29例中男10例,女19例,平均年龄38±20岁。病史中位数为4周。术前未做任何影像学检查的8例(27.6%),未做PPD、结核抗体的均为19例(65.5%),未做痰涂找抗酸杆菌达100%。手术确诊结核的部位中盆腔、腹部两者占大多数。术前误诊率89.7%。结论临床应重视结核病的相关检查,从而在提高确诊率的同时提高患者的生存质量。
Objective To analyze 29 cases with tuberculosis diagnosed by surgery and to explore the causes of misdiagnosis. Methods The clinical data of 29 patients with TB diagnosed by surgery were retrospectively analyzed. Results There were 10 males and 19 females, and their average age was 38 ~ 20 years old. 8 patients （27.6%） had no preoperative imaging studies, and 19 cases （65. 5% ） had no PPD and tuberculosis antibodies treatment. All the 29 cases were not given preoperative sputum smear to look for acid-fast bacilli. The locations of tuberculosis were mostly in abdominal and pelvic regions diagnosed by surgery, that led to an 89.7% preoperative misdiagnosis rate. Conclusions Clinical treatment should be based on the detailed TB-related health examinations so as to improve the diagnosis accurate rate as well as the patients＇ quality of life.
出处
《临床肺科杂志》
2012年第11期2038-2040,共3页
Journal of Clinical Pulmonary Medicine
关键词
结核
手术
误诊
检查
tuberculosis
surgery
misdiagnosis
inspection
